Brief reportMyocardial infarction associated with inappropriate use of topical cocaine as treatment for epistaxis
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Cited by (20)
Acute Toxicity from Topical Cocaine for Epistaxis: Treatment with Labetalol
2017, Journal of Emergency MedicineCitation Excerpt :Due to its unique anesthetic, vasoconstrictive, and thrombogenic properties, cocaine is used by some emergency physicians for the treatment of acute epistaxis (1). Cardiac complications from the use of topical cocaine for nasopharyngeal procedures have been described previously (4–10). Cocaine-induced cardiovascular toxicity results from inhibition of the re-uptake of the monoamines dopamine, norepinephrine, and serotonin at preganglionic sympathetic nerve endings, resulting in β- and α-adrenergic stimulation with resultant hypertension, tachycardia, and vasoconstriction (14).
Cocaine-associated myocardial infarction secondary to a contaminant
1993, American Journal of Emergency MedicineLocal anesthetics
1993, Side Effects of Drugs AnnualDrugs of abuse
1993, Side Effects of Drugs AnnualAcute myocardial infarction in adolescents: reappraisal of underlying mechanisms
2020, Netherlands Heart JournalClinical Practice Guideline: Nosebleed (Epistaxis)
2020, Otolaryngology - Head and Neck Surgery (United States)
Copyright © 1992 Published by Elsevier Inc.